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HomeMy WebLinkAboutPermit Mechanical 2011-3-10 ... . .... ,;.r . l' , sp~~.;~~ ~r~('~EGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00381 IVR Number: 811152626740 ISSUED: 031,<<1 "'J::>S' APPLIED: 03/10/2011 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: In Review 03/10/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769. Fax: 541-726-3676 permitcenler@ci.springfield.or.us EXPIRES: VALUE: 09/06/2011 $0.00 SITE ADDRESS: 1540 MISSISSIPPI AVE. Eugene, OR 97403-2425 ASSESOR'S PARCEL NO: 1703344308500 SCOPE: Mechanical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Reroute gas line Phone Number: OWNER: ADDRESS: WESTOVER RALPH C & DOROTHY 1530 MISSISSIPPI AVE EUGENE OR 97403 Contractor Type Mechanical Contractor Contractor Name OWNER' CONTRACTOR INFORMATION ~ Lie Type OWNER BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heal: Water Type: Range Type: Hazmat: # of Units: o # of Bedr\?oms: Sprinkled Bu!lding: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Editio~: Mechanical Specialty Code Edition: Municipall Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 0000000 Lie Exp 08/12/2025 Phone Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: ATTENTION: Oregon law requires you to Soils Report Requir"lbllow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copi.es of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). NOTICE: . .'d . THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Pennit 3/10/2011 1:38:48PM Page 1 of 3 .- '\ -,. , SP~N_~~ ~,~ ~.OREGON www.ci.springfietd.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00381 IVR Number: 811152626740 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: In Review ISSUED: APPLIED: 03/10/2011 EXPIRES: VALUE: 09/06/2011 $0.00 03/10/2011 SITE ADDRESS: 1540 MISSISSIPPI AVE, Eugene, OR 97403-2425 AssEsOR's PARCEL NO: 1703344308500 SCOPE: Mechanical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Reroute gas line Frontyard Setback: Interior Setback: sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Descriotion Amount Paid Date Paid Reciot # ~~.~! O!e~~urc;har!!.eJ!..2% of applicable fee~)_ ___ ______ .!~~_._~.0/2011 _ __~~44 State of Oregon Surch".rge (12% of aJ'plica_bl~f~es) $8.64 __._ _._ _ ___03/10!22,11_ _ 2011000444 :!:~ch~o!ogy f-"-"J5_%~.E,:,_~it tOl"I)_ ____ __.___ _ ~~60 03/10/2011 n _ __ _ 20..1.1 00~4~4 First Appliance Fee $79.00 03/10/2011 _.___l~444 Technology fee (5% of permit total) $0.35 03/10/2011 2011000444 Total Amount Paid $92.43 Springfield Building Permit 3f10f2011 1:38:48PM Page 2 of 3 /". {. ' '- '1, SP~.I.N.G.FIE. ~ '.';- ~;4.~ j,!J'. -~ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00381 IVR Number: 811152626740 www.ci.springfield.or.us 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 In Review permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: 03/10/2011 ISSUED: APPLIED: 03/10/2011 EXPIRES: VALUE: 09/06/2011 $0.00 SITE ADDRESS: 1540 MISSISSIPPI AVE, Eugene, OR 97403-2425 ASSESOR'S PARCEL NO: 1703344308500 SCOPE: Mechanical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Reroute gas line Plan Review , Deoartment Application Acceptance Received Due Date 03/10/2011 03/10/2011 Comoleted 03/10/2011 Result Over the Counter MeChanical Review -: "",,,",,' 03/10/201l~,03/10/20'll,',,03110/2611 '~ "iN,,1 Required:' -,..... . ~':~~~~~ents: '::,f9vei~e:_~~~~t~~,per;{fi,~._~._-- ~ft:;;.:~:~~;._~:~ "-i:t::~v--' .-~~v -- -.-~~<:~:;- ~;-- - . - ," Initial Review 03/10/2011 03/10/2011 03/10/2011 Over the Counter . Comments: Over the counter permit Reviewer David Bowlsby :::.:Da.v!d-B9X"~sby;~',:~~>~~~' <. ""~:_ 1-~5i"", -:-'-. ' ';~...;',4:,-- ,c..:,,~.-,;'.' ~ David Bowlsby INSPECTIONS REQUIRED ~ Inspections 2310 Rough Gas Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. 2995 Final Gas By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further ce'rtify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Y/t'//r ale / Springfield Building Permit 3/10/2011 1:3B:4BPM Page 3 of 3 M~chanical Permit Application j.- ....<f- {~-E~ "~ ''l'''''~' - 'F.......: ..;':';-<1:: '.t:~'ljy?,f;;'.'{~,:::',",~::"'J., ,CITY:,OF.:SPRIN(;F:IELD;'O~REG()N~ . " _ _- =- 0;- ~ ~,.. ._~ .. - """-..."""~ . -= '" - '.....::. - , 225 Fifth Street. Springfield, OR 97477 . PH(541)726.3753 . FAX(541)726.3689 SPRINGFIELD ~ ~~~ ~'~'. 6!. ~.. ." ".~i'~ .'.,..... c:, ""'-,"~,J'."~ ......,.' ,'_", ':.-.",~"" ,'-, :,,-':DEPARTMENTUSE ONLY. :":,,,, ;. ,,' _~,., . ',.' .,-' ""~_' ~'~." . I};." p~i~f.NI 38/ Date: This permit is issued under OAR 918-440-0050, Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. "~;:{~'<CATEGORY2';OF;.'CONStRUCtION'>"'.:'... ." .01Zesidential D Government D Commercial i~,',rrrjT JoEi\~jJiE'ji N'f:9.RM~'t19N~ 'ANb;\E()~A.'tj6N\1:~~"(;F; Jobsiteaddress:/SLtC 1!5/.ss./f', I E City: !' State: ()Q... ZIP: ''71{ 0,:$ Reference: 703 J 41.( ':! Taxlot.:OBSO(:) DESCRIPTio~(OF WORK if! ~ t./Nr ~~:~~~~~~ltp.~Q~ER.fY~ll9WJ.ii;:i=t~~1t~~~W~C~~i Name:.oo"eO T pi- 9' W&.:5/ o,vc: A2- Address:lS.3o /Y)/6'5/6:::Jpo'p/ h/U5". CityC aGc:'^-' E StateO.c? Z1P9:?-463 Phon<:::l'L-? - 'h9. E-mai~ This installation is being made on property owned by me or a member of my/immediate family" and~Jx~'W;, fr91' licensing requiremento/?ndeLO' 1!1i9~ L/ 'gnaturelY" 1'i't.)"'"w';lt';;'C'O"N:r,RA.. C'O. '..R'IN'Srk""A'TIONftt'!i,,;&,/ &iiJ(ii<,,;.. t>::."...,'~If':-:;l~~';P."'...__. ,:1; __ __.,____ ~ __.__.:..._ _L:;~__'-i_'_ .._,.!<'~_. f,,-.' ...'~"~",:,__ Business name: Address: City: Phone: E-mail: CCB license no.: Print name: ZIP: Signature: 440.2545.J (11/08/COM) ..' FEE SCHEDUl.E 0,' "~:'. .' ',:1.:". : :-"i;.".;,;.iu~,~,,~,,''''''''"''';'-.\l:'' , ~:: c.~~t-'/ ".:rotal . hB.es~den~I~I'f1!:~' ....~'{:'K..I' ~.I;" .~,,'i.l.:::;J~k; { ,~ty, ~. ,}~',cost::;;c' "',, ,..,., ,. ~." ,.' . .." _."<.' '.' ,.f:h. -~ t!;.{.':ea;?..'> First Appliance $79.00 $ furnace/burner including ducts and vents Up to lOOk BTUlhr. $17.00 $ Over lOOk BTU/hr. $20.00 $ Heaters/stoves/vents Unit heater $17.00 $ Wood/pellet/gas stove/flue , $38.00 $ Repair/alter/add to heating appliance! refrigeration unit or cooling system! $58.00 $ absorption system Evaporated cooler $13,00 $ Vent fan with one duct/appliance vent $9.00 $ Hood with, exhaust and duct $13.00 $ Floor furnace. including vent $58.00 $ Cas piping / One to four outlets I $7,00 $ Additional outlets (each) $4.00 $ Air-handling units, including ducts Up to 10,000 CFM I I $11.00 $ Over 10,000 CFM I I $20,00 $ ComDressor/absorotion svstem/heat oumn Up to 3 hpll OOk BTU $17.00 $ Up to 15 hp/500k BTU $29.00 $ Up to 30 hpll ,000 BTU $43,00 $ Up to 56 hpll, 750 BTU $57.00 $ Over 50 hpll ,750 BTU $95.00 $ Incinerators Domestic incinerator I I $20.00 $ - ComrtiercIa J~~;.;1':q~'~+~:~5~/(:;_f>;,?~~f:';;;:~}\ ~':<I:~:r.~~ ':f~~F;;;~~"i-~" ':t~ Enter total valuation of mechanical system and installation costs $ Enter fee based on valuation of mechanical system, etc. $ i'Nr'~t. <k(lir~if.1li Jt,~~l1<1t~f-e"_":;:jO;~,,'1.i''" ,,0:..;,'.I\1'i\:;~:I~j,,';~}"\'; ~ -~ Costi"~Hi :.'\ TotaL.'!j ,:; Isee ~neous!; ees",J~~.~~J,*(f'1 f't.~I~~ms _,,?, "".~-Wf" "ro.'cosn';'; '1-.~. 'l . .".,....~"..1<' "<':'<',""",..-.>-;.~" ",:. ,.;"t-"-'"N"#..;> '.<".,',' ., ea.i;!:,<.' . Reinspection $58.00 $ Specially requested inspections (per hr.) $58.00 $ Regulated equipment (unclassed) $13.00' $ Each additional inspection: (I) $58.00 $ !!r4f~lr!i.l!:~~~'i~YA",p,i.::lcANfr:;;l.JSE.f{~~~m;i!~ig;-ilil1lf.)f~: (A) Enter subtotal ofa (or enter set 7~ minimum feero9.001.--/ $ (B) Investigative fee (equal to [All $ (C) Enter 12% surcharge (.12 x [A+BJ) $ "j'10 (D) Seismic fee. 1%(.01 x [All $ (E) Technology Fee (5% of [All $ 3'/",) TOTAL fees and surcharges (A through E): $97 t(f ,- (.(.:. > .~ SP:.:\N...G~E~ .\,~~ " ,"'?" OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00381 1540 MISSISSIPPI AVE permitcenter@ci.springfield.or.us ";~ ~.- ~':. .~:..~.;! ,-,: , "ACCQUNLCODE 224-00000-425604 821-00000-215004 1 00-00000-425605 TOTAL DUE: DATE: 0311012011 'LJ AMOUNT_DUE. 79.00 9A8 3.95 92.43 AMOUNT PAID 92.43 I RECEIPT NO: 2011000444 lDESCRIR.TION -2, _ I. T -. First Appliance Fee State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) RECORD NO: 811-SPR2011-00381 l-'~~YMENT TYf.El;.:_-'~~YOR .. CAS;""'R:DBOWtSBY Credit Card edward styles 460474 -. :ccif!1_M.~~ts,: ":s- TOTAL PAID: 92.43